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目的 :探讨间接光凝法对中心性浆液性脉络膜视网膜病变的治疗效果。方法 :对中心性浆液性脉络膜视网膜病变经眼底荧光血管造影后 ,将渗漏点在黄斑中心凹及附近 1 / 3PD范围的患者 4 8例4 8只眼 ,随机分为间接光凝治疗组 2 5只眼和药物治疗对照组 2 3只眼 ,观察治疗后恢复时间、视力等变化。结果 :在治疗后 2个月时光凝组完全恢复的有 2 1只眼 ( 84 % ) ,而对照组有 8只眼 ( 3 4 8% ) ,比较两组恢复率有显著性差异 (P <0 0 1 )。治疗后 2个月视力恢复 3行以上光凝组有 2 1只眼 ( 84 % ) ,而对照组有 1 4只眼 ( 61 % ) ,两组比较有显著性差异 (X2 检验 ,P <0 0 2 5)。结论 :间接光凝法治疗中心性浆液性脉络膜视网膜病变可加快恢复 ,缩短病程 ,特别对中心凹附近荧光渗漏者也能争取尽早完全恢复
Objective: To explore the therapeutic effect of indirect photocoagulation on central serous chorioretinopathy. Methods: After fundus fluorescein angiography of central serous chorioretinopathy, 48 patients (48 eyes) with leakage in the fovea and nearby 1 / 3PD range were randomly divided into indirect photocoagulation group 2 5 eyes and drug treatment control group, 23 eyes, observe the recovery time after treatment, visual acuity and other changes. Results: At 2 months after treatment, 21 eyes (84%) were completely recovered from the photocoagulation group and 8 eyes (34.8%) in the control group, and the recovery rate was significantly different between the two groups (P < 0 0 1). Two months after treatment, there were 21 eyes (84%) in 3 eyes with photorefractive group and 14 eyes (61%) in control group, there was significant difference between the two groups (X2 test, P <0 0 2 5). Conclusion: Indirect photocoagulation in the treatment of central serous chorioretinopathy can speed up the recovery and shorten the course of disease, especially for patients with fluorescence leakage around the fovea can also be fully recovered as soon as possible